Healthcare Provider Details

I. General information

NPI: 1568393957
Provider Name (Legal Business Name): JB YIM DDS,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18391 COLIMA RD STE 209
ROWLAND HEIGHTS CA
91748-2730
US

IV. Provider business mailing address

18391 COLIMA RD STE 209
ROWLAND HEIGHTS CA
91748-2730
US

V. Phone/Fax

Practice location:
  • Phone: 626-854-2100
  • Fax: 626-854-2102
Mailing address:
  • Phone: 626-854-2100
  • Fax: 626-854-2102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOO BIN YIM
Title or Position: PRESIDENT
Credential: DDS
Phone: 626-854-2100